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General NPI Number Information
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NPI Number | 1508110123
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Entity Type | Organization
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Legal Business Name | SLRHC FACULTY PRACTICE
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 425 W 59TH ST SUITE 3A
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City | NEW YORK
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State | NY
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Zip | 10019-8022
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Country | US
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Telephone | 212-523-7756
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W 59TH ST SUITE 3A
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City | NEW YORK
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State | NY
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Zip | 10019-8022
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Country | US
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Telephone | 212-523-7756
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR -UROLOGY
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Name | DR. FRANKLIN C LOWE
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Credential | MD
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Telephone | 212-523-7756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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